May 8, 2026 · 34 min · 17 segments
This week’s FAST Replay is a double feature! Two talks that tackle high-stakes medicine from completely different angles, but with the same underlying theme: **thinking differently when the usual…
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This is the number of cardiac arrests attended by EMS that were entered into the care registry in 2023.
What would you guys guess is their survival rate? Now, these are EMS agencies who are tracking and reporting QA metrics, right? So better than your average bear.
And most of us don't just want to survive to be comatose in bed and non-interactive.
In the last decade and a half, other than a brief dip during COVID, these numbers haven't really changed.
This is the original description of ECPR, of general CPR by Peter Safar in 1963.
So what's it going to take? What would it take to triple those numbers? So this data is actually from the most recent meta-analysis of ECPR with a neuro-intact survival rate three times that for all comers for general CPR.
So we're going to talk real briefly about what is this? What is ECPR, this acronym I keep tossing around? So you take a patient who is undergoing CPR, right, in cardiac arrest, and instead of using your hands to circulate the blood and a ventilator or BVM to ventilate and actionate, you take the body outside extracorporeal and you use a machine to do those things.
So how does this work? Well, we take a garden hose or something about the size of a chest tube and we put it in the vein.
We then send it to an actionator that actionates and ventilates, does the work of the lungs, and then we send it backwards to the body, the brain, and ultimately to the heart.
Its job is to pump the blood around your body, right? It pumps anywhere between four and eight liters per minute, depending on how big your body is.
This is the number of cardiac arrests attended by EMS that were entered into the care registry in 2023.
What would you guys guess is their survival rate? Now, these are EMS agencies who are tracking and reporting QA metrics, right? So better than your average bear.
And most of us don't just want to survive to be comatose in bed and non-interactive.
In the last decade and a half, other than a brief dip during COVID, these numbers haven't really changed.
This is the original description of ECPR, of general CPR by Peter Safar in 1963.
So what's it going to take? What would it take to triple those numbers? So this data is actually from the most recent meta-analysis of ECPR with a neuro-intact survival rate three times that for all comers for general CPR.
So we're going to talk real briefly about what is this? What is ECPR, this acronym I keep tossing around? So you take a patient who is undergoing CPR, right, in cardiac arrest, and instead of using your hands to circulate the blood and a ventilator or BVM to ventilate and actionate, you take the body outside extracorporeal and you use a machine to do those things.
So how does this work? Well, we take a garden hose or something about the size of a chest tube and we put it in the vein.
We then send it to an actionator that actionates and ventilates, does the work of the lungs, and then we send it backwards to the body, the brain, and ultimately to the heart.
Its job is to pump the blood around your body, right? It pumps anywhere between four and eight liters per minute, depending on how big your body is.
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